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Sick Day Rule
Diabetes can be more difficult to treat when you are ill. The following guidelines can help your diabetes under control.
  • Report any illness to your physician when it increases your blood glucose level.
  • Test blood glucose more frequently, at least 2-4 hours until results are normal
  • Call your physician and ask for guidance, especially:
    • If high blood glucose levels (250 mg/dl or greater) last more than 6 hours
    • If you are unable to take fluids or food for four hours
    • If you have a fever (101.5 F or greater)
    • If illness last more than 2 hours
    • If you are dehydrated
    • Severe abdominal pain or unexplained symtoms
  • When contacting physician, have handy the results of glucose, ketones, symptoms of illness and body temperature
  • Continue taking insulin even if you are unable to eat solid food or are vomiting. Your insulin need may stay same or increase when you are ill
  • Continue eating foods and drinking fluid even if you are vomiting, having diarrhea, or your blood glucose level is high
  • Take at least 45-50 g of carbohydrate every 3-4 hours. If regular foods are not tolerated, try carbohydrate containing liquids or soft foods. The following foods contain 15 g carbohydrate in the amount listed:
    • ½ cup regular soft drink
    • 1 cup soup
    • ½ cup fruit juice
    • 1 slice toast
    • 2 biscuits
  • To prevent dehydration drink at least one glass of fluid every hour. If drinking causes vomiting, limit fluid 1-2 tablespoon /20 mts
  • Limit your activity if blood glucose is >250mg/dl or ketones are moderate or high
 
     
  For Patients
 
Insulin Injection Technique
Self Monitoring of Blood Glucose (SMBG)
Sick Day Rule
Hypoglycemia
Hyperglycemia
  For Parents
  Five major areas that parents need to focus on when their child is diagnosed with Type 1 Diabetes.

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  For Teachers
  Information for teachers about diabetes and suggestions for how to care for diabetic children in school.

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